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Nursing HomeMedicaid Investigative

Highlands Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1705 Stevens Avenue, Deer Park · Louisville, KY 40205154 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 75 Google reviews

5
4
3
2
1
Highlands Nursing and Rehabilitation Nursing Home in Louisville, KY — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (7 vs median 2.0)

Below average in KY · Meets national RN staffing standard · $17,523 in fines

Source: Medicare data

What this means for your family

While recent renovations and the therapy department receive praise, the facility has seen a recent uptick in serious complaints regarding medical oversight and communication. Families should conduct an in-person visit during a weekend to verify staffing levels and ask specific questions about their protocols for notifying families during medical emergencies.

Google Reviews

Google Reviews

75 reviews on Google
Highlands Nursing and Rehabilitation presents a polarized experience, with many recent reviewers praising significant facility renovations and a more dedicated management team under new ownership. However, persistent reports of neglect, poor communication, and inadequate staffing—particularly on weekends—remain a serious concern for families. Potential residents should weigh the positive reports of improved aesthetics and therapy services against the recurring allegations of hygiene issues and slow response times.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean5.0Activities7.0Meds3.0Memory6.0Comms3.0ValueN/A

Strengths

  • Significant facility renovations and upgrades
  • Strong rehabilitation and therapy team
  • Compassionate and attentive nursing staff
  • Responsive administrative leadership

Concerns

  • Inadequate hygiene and failure to assist with basic personal care (mentioned by 7 reviewers)
  • Poor communication and difficulty reaching staff/management (mentioned by 5 reviewers)
  • Understaffing, especially on weekends and night shifts (mentioned by 4 reviewers)
  • Loss or theft of personal belongings (clothing, eyeglasses) (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'20(5)'22(13)'24(11)'26(3)

Distribution · 76 analyzed

5
43
4
8
3
2
2
0
1
23

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see the recent renovations and upgrades to the facility; could you tell us more about how these improvements have enhanced the resident experience?
  • 2We noticed the administration is very active in responding to feedback, so how does the leadership team currently work with families to ensure clear and consistent communication?
  • 3What specific protocols are in place to ensure that medication management is handled accurately and that residents receive timely assistance with their daily personal care needs?
  • 4How does the nursing team manage staffing levels during the night shifts and over the weekends to ensure everyone stays well-attended to?
  • 5Could you describe the daily activity schedule and what kind of social engagement or programs are available to keep residents active and involved?
  • 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating care with the clinical team?

Personalized based on this facility's data


Key Review Excerpts

The facility has came a long way the staff is super friendly and helpful. The therapy department is amazing!

Family member · 2021★★★★★

My Mother has been at Highlands for almost a year now. We have been grateful for their care of her. Very nice people working and caring for the residents there.

Long-term resident's family · 2024★★★★

My grandmother who has dementia is a patient here and is doing SO well at this nursing home. They have friendly nursing staff, follow proper protocol when it comes to care and help for their patients.

Memory care family member · 2024★★★★★
Source: 75 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.84hrs
OK
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility40.1%
Worse than Avg
Here
40.1%
US
12.1%
KY
16.5%
Jefferson
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
19.5%
KY
29.6%
Jefferson
18.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.3%
Worse than Avg
Here
81.3%
US
93.4%
KY
94.3%
Jefferson
84.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
19.4%
KY
19.4%
Jefferson
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
15.3%
KY
15.5%
Jefferson
13.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
14.4%
KY
14.7%
Jefferson
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility47.9%
Worse than Avg
Here
47.9%
US
81.8%
KY
83.9%
Jefferson
73.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.9%
Mixed vs Avgs
Here
76.9%
US
79.8%
KY
83.6%
Jefferson
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.6%
Worse than Avg
Here
2.6%
US
1.6%
KY
1.7%
Jefferson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
3penalties
Well above state avg (3.4)
$17,523 in fines

Highlands Nursing and Rehabilitation has a concerning pattern of repeated deficiencies across all three surveys, with issues in resident rights, care planning, and fire safety recurring consistently. The facility struggles with maintaining safe environments, proper electrical systems, and medication management, with many of the same problems appearing in 2020, 2024, and into 2025. Families should be aware that while deficiencies show correction dates, the persistence of similar issues suggests ongoing operational challenges.

Feb 28, 2025Routine
13
0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Mar 23, 2024Routine
13
0655Immediate jeopardy · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Jan 11, 2020Routine
27
0656Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0584Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0730Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0500Potential for harm · IsolatedCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Fine

Mar 23, 2024

$6,780

Fine

Mar 23, 2024

$10,743

Payment Denial

Mar 23, 2024

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highlands Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

David Marx

Chain Size

10 facilities nationwide

Chain avg rating: 2.4/5 · Rank 6 of 10

Ownership & Management

Owners

Highlands Nursing and Rehabilitation Holdings LLC

Owner · Organization

100%

Key personnel

Pruitt, PaulManaging Control - Governing Body1705 Stevens Ave Snf Realty LLCManagerBluegrass Consulting Group LLCManagerLtc Consulting Services LLCManagerAlexander, JamesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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